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Indiana rates for HCPCS 63621

Stereotactic Radiosurgery Ea Addl Spinal Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.05 / $221.05 / $360.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.00 / $5,790.87 / $8,700.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.57 / $277.64 / $320.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $3,874.00 / $5,490.00